Organization Active NPI

Pyramid Lake Paiute Tribe

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Nixon, NV
National Provider Identifier
1932237229
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
License
10315 Issued in NV
Legal business name
PYRAMID LAKE PAIUTE TRIBE
Practice address
705 Hwy. 446
Nixon, NV 89424
Phone
(775) 574-1018
Fax
(775) 574-1028
NPI assigned
Mar 1, 2007
Last updated
Jan 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dawna L Brown
Title
Health Director
Phone
(775) 574-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 10315 NV Primary

Addresses

Primary practice location

705 Hwy. 446
Nixon, NV 89424

Mailing address

PO Box 227
Nixon, NV 89424-0227
Phone (775) 574-1018

Other identifiers 1

IdentifierTypeStateIssuer
4716673MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Pyramid Lake Tribal Health Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1932237229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "NIXON",
            "state": "NV",
            "postal_code": "894240227",
            "telephone_number": "775-574-1018",
            "fax_number": "775-574-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 HWY. 446",
            "city": "NIXON",
            "state": "NV",
            "postal_code": "89424",
            "telephone_number": "775-574-1018",
            "fax_number": "775-574-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID LAKE PAIUTE TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAWNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "775-574-1018"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "NV",
            "license": "10315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4716673",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixon, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.